Category / Nursing & Midwifery

Enhanced Rehabilitation Of The Upper Limb Following Stroke By An Adaptive Virtual Reality And FES Approach

PG research

We would like to invite you to the latest research seminar of the Games and Music Technology Research.presimage

 

Speaker: Nathan Barrett (A Bournemouth University PhD student based at Salisbury NHS).

 

Title:     Enhanced Rehabilitation Of The Upper Limb Following Stroke By An Adaptive Virtual Reality And FES Approach

 

Time: 2:00PM-3:00PM

Date: Wednesday 30th November 2016

Room: PG11, Poole House, Talbot Campus

 

Abstract: Of the approximately 150,000 people a year who suffer a stroke in the UK, 85% of survivors are left with some degree of motor dysfunction in their upper limb. Complete functional recovery has been found to occur in just 5% to 34% of cases. These low rates may be due to rehabilitative interventions that lack the volumes of specific motor practice needed to induce neuroplasticity – a form of cortical rewiring that allows the brain to adapt after damage. Assistive technologies, such as Functional Electrical Stimulation (FES) and virtual games, can augment such therapy and may be beneficial to a person’s recovery.

FES is a type of electrotherapy which has good clinical evidence for its use. Electrically-stimulated movements, however, often lack combined voluntary effort – a factor necessary to aid effectiveness. Virtual games, on the other hand, often inspire huge amounts of volitional movement, although, particularly with popular commercial devices, this movement isn’t always therapeutic.

Combining the two is therefore an attractive prospect, yet attempts at this have resulted in systems that are costly, immobile and commercially unavailable. There is therefore a need to combine the two within a system that fulfils the criteria for an effective assistive technology. The system, Esmé (the Electrically-Stimulated Movement and game Environment), is currently in development. This seminar provides an overview of the project and discusses next steps.

 

 

We hope to see you there.

BU’s Clinical Academic Doctorates; an example of good practice in new official guidance

The Association of UK University Hospitals (AUKUH) has today released new guidance, Transforming healthcare through clinical academic roles in nursing, midwifery and allied health professions: A practical resource for healthcare provider organisations

The guide is aimed at NHS organisational leads with the responsibility for developing and embedding clinical academic roles for nursing, midwifery and allied health professions. Clinical academics serve as a crucial connection between the NHS and universities, working to train future generations of healthcare workers while engaging in research which can improve outcomes for patients and help increase efficiency.

The guide contains practical information, case studies and templates. One of the case studies highlighted is BU’s innovative clinical academic doctorates. The pragmatic four-year clinical doctorate model enables midwives and nurses to remain in practice while conducting a piece of research to meet clinical priorities. The four-year clinical doctorate is a joint development involving academics at Bournemouth University and clinical colleagues at NHS trusts. The doctorate is structured to enable students to spend two days a week in clinical practice and three days conducting research. All research projects are jointly developed to meet an identified clinical need.

The model originated for midwives in Portsmouth Hospitals NHS Trust, where we have eight fellows, and has now been adopted by the Isle of Wight NHS Trust, University Hospital Southampton NHS Foundation Trust, Poole Hospitals NHS Trust and Dorset County Hospitals NHS Trust (Way et al., 2016). The model is also being extended to other disciplines, with our first nurse fellow at Royal Bournemouth and Christchurch Hospitals NHS Trust.

 

Professor Debbie Carrick-Sen, Co-Chair of the group which produced the guidance, says:

‘Creating this resource has required a significant amount of collaboration from colleagues across healthcare and we are truly grateful to them. The energy that has gone into it is a huge credit to the professions involved. Through this guidance they have the means to share their immense successes, learn from each other and ultimately work to the benefit of patient care.

‘The guidance will be the starting point. We have established a network of organisational leads with the responsibility for its development and for using it to implement clinical academic roles across the UK. This gives us a fantastic opportunity to begin a nationwide dialogue and to transform health and social care in the UK.’

 

Way S, van Teijlingen E, HundleyV, Westwood G, Walton G, Wiggins D, Colbourne D, Richardson C, Wixted D, Mylod D (2016) Dr Know. Midwives, 19, 66-67.

Midwifery Graduation: Honours & Awards

international, PG research, student research

alison-sheenaAlongside Bournemouth University’s midwifery and other health and social care students who graduated in last Friday’s ceremony, BU honoured prominent midwife Sheena Byrom OBE with an Honorary Doctorate for her services to the profession. Sheena Byrom gave an inspiring speech at Friday’s Graduation.  Sheena said, “If they can keep in their hearts the passion and the drive they had when they first came to the university, it will help them to be more resilient and keep them motivated towards what they want to do. Healthcare is a blend between love and science and both are equally important. In practice, it is key that they have the skills, but the things that makes the difference are love and compassion.”

rachelalisonedwinAlongside Sheena two students from the Centre of Midwifery, Maternal & Perinatal Health(CMMPH) graduated with a PhD in Midwifery.  Dr. Alison Taylor received her PhD for her qualitative research on breastfeeding. Her thesis is entitled ‘It’s a relief to talk ….’: Mothers’ experiences of breastfeeding recorded on video diaries.  Dr. Rachel Arnold was awarded her PhD for her research Afghan women and the culture of care in a Kabul maternity hospital.

Congratulations to all BU undergraduates and Rachel, Alison and Sheena!

Prof. Edwin van Teijlingen

CMMPH

EU award for PhD student Preeti Mahato

international, PG research, Publishing, student research

FHSS PhD student Preeti Mahato in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) has been awarded a funded place on the COST Action Training School BEYOND BIRTH COHORTS: from study design to data management.  This training school will run from 23-15 November in Spain.

eu-flagCOST (European Cooperation in Science and Technology) is a unique platform where European researchers can jointly develop their ideas and initiatives across all scientific disciplines through trans-European networking of nationally funded research.  Preeti pal has been awarded the sum of 500 euro to cover the cost of attending the Training School and travel and accommodation costs.    Preeti’s PhD project is on maternity care provision in  Nepal. Preeti’s research focuses on the quality and equity of service available at birthing centres. In Nepal, birthing centres act as first contact point for the women seeking maternity services especially the basic obstetric care. She is supervised by Dr. Catherine Angell, Prof. Edwin van Teijlingen and BU Visiting Faculty Prof. Padam Simkhada (based at Liverpool John Moores University).

Preeti has already published the first PhD paper ‘Birthing centres in Nepal: Recent developments, obstacles and opportunities’ in the Journal of Asian Midwives (JAM) [1], whilst another was published in the Nepal Journal of Epidemiology [2].  Furthermore, a more general health and development paper was published this year in Health Prospect [3].

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Mahato, P., van Teijlingen, E., Simkhada, P., Angell, C. (2016) Birthing centres in Nepal: Recent developments, obstacles and opportunities, Journal of Asian Midwives 3(1): 17-30.
  2. Mahato, P.K., Regmi, P.R., van Teijlingen, E., Simkhada, P., Angell, C., Sathian, B. (2015) Birthing centre infrastructure in Nepal post 2015 earthquake. Nepal Journal of Epidemiology 5(4): 518-519. http://www.nepjol.info/index.php/NJE/article/view/14260/1157
  3. Regmi, P., van Teijlingen, E., Hundley, V., Simkhada, P., Sharma, S., Mahato, P. (2016) Sustainable Development Goals: relevance to maternal & child health in Nepal. Health Prospect 15(1):9-10. healthprospect.org/archives/15/1/3.pdf

Czech midwifery lecturer on EU-funded visit to CMMPH

international

pilzen-2006

Eva Hendrych Lorenzová, midwife and midwifery lecturer from the Czech Republic, visited the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) this passed week.  Eva was awarded a travel grant as part of the EU-funded COST Action IS1405 Short Term Scientific Mission (STSM).  Eva spoke to colleagues and students at Bournemouth University as well as midwifery colleagues in Weymouth, Bournemouth, Poole and the New Forrest Birth Centre.eu-flag

 

Over the past five year, four different midwives from Continental Europe have been to Bournemouth University on an STSM exchange. Eva is the fourth one, and with Brexit most likely to be the last on this EU scheme!  Each of these four midwives had a different aim for their STSM project. The first STSM midwifery visitor five years ago was Susanne Grylka-Baeschlin. She did a methodological piece of research which resulted in the translation of the Mother-Generated Index into German to be used in Switzerland and Germany. The STSM was part of her MSc project supervised by Prof. Mechthild Gross and supported by Dr. Kathrin Stoll, both based at the Hannover Medical School in Germany.

In 2013 Dr. Ans Luyben, a Dutch midwife working in Switzerland, came over to BU for ten days. She came to develop the survey content on organisational system design and culture as part of the international survey, taking place during the COST Action. The work focused on organisational system design and culture in regard to antenatal care, including prenatal screening.

Eva & Jillian 2016

Eva and Jillian 2016

The third STSM midwifery visitor in 2014 was Dr. Fátima León Larios from Spain. Her STSM was much more practical, Fátima was keen to find out more about how small midwifery-led maternity units were being run in England. BU’s Visiting Faculty and Poole Community Midwife Jillian Ireland took her to visit four different maternity units in the south of England.  Jillian also organised Eva’s meeting with community midwives and midwives in various birthing centres in Dorset and the New Forrest in October 2016.

 

Prof. Edwin van Teijlingen

CMMPH

FHSS Dr. Vanessa Heaslip awarded Florence Nightingale Travel Scholarship

Awarded & submitted bids, international

florence-nightingale-foundation-2016Dr. Vanessa Heaslip in the Faculty of Health & Social Sciences (FHSS) has been awarded a Florence Nightingale Travel Scholarship. She will be using this prestigious award to travel to New Zealand and various locations in the United Kingdom. She is hoping to learn from New Zealand, which is decades ahead in tackling these issues, to establish, adapt and develop principles for implementation in the UK.  Vanessa’s study funded by the Florence Nightingale Foudation is called: “Towards addressing health inequalities of marginalised communities; using Gypsy Roma Travellers (GRT) as the model.”

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

CMMPH disability & childbirth research

Publishing

Last month’s press release for the latest study in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) was picked up by the Journal of Family Health.  disability-pregnancy-2016The study ‘Human rights and dignities: Experience of disabled women during pregnancy, childbirth and early parenting’ appeared under the heading ‘Maternity care failing disabled women, charity warns’ in the Journal of Family Health.  The charity in question is Birthrights which funded the survey of women with physical or sensory impairment or long-term health conditions and their maternity care experiences.  The research was conducted by midwifery researchers Jenny Hall, Jillian Ireland and Vanora Hundley at Bournemouth University and occupational therapist Bethan Collins, at the University of Liverpool.

rcm-disabilityLast month this important study had already been reported by the Royal College of Midwives (RCM) on their webpages (click here to read more).  On the RCM website  Louise Silverton Director for Midwifery at the RCM said: “It is deeply disappointing to hear that women with disabilities are not getting the maternity care they need and deserve. Although this is only a small survey, it does provide a very valuable insight into the realties of the care these women have received while pregnant.  The RCM believes that maternity services should treat disabled women like every other woman, while ensuring that the care provided does not ignore or overreact to their specific wishes and aspirations.”

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

ORI presentation at RCN Society of Orthopaedic and Trauma Nursing International Conference and Exhibition

conferences

RCN Society of Orthopaedic and Trauma Nursing International Conference and Exhibition, 8-9th  September 2016, Cardiff

Nice poster, but can't say the same thing for the poster board...

Nice poster, but can’t say the same thing for the poster board…

The theme for this conference was ‘Valuing the past, embracing the future‘ and it was great to be able to represent BU’s Orthopaedic Research Institute (ORI) whose work is firmly on the ’embracing the future’ side of the theme. I was there to deliver a poster presentation entitled:

‘A review of the literature related to the role of nutritional supplementation for an enhanced recovery pathway for hip and knee replacement’

This was produced through work with Associate Professor Tom Wainwright (Deputy Head) and Professor Rob Middleton (Head) of ORI, and Dr Simon Dyall of the Faculty of Health and Social Sciences. There was good interest in the poster from orthopaedic nurses and fellow academics, and I had a great chat about nutrition with the one medical doctor in attendance – the first time I’ve heard of an orthogeriatrician!

Headline? At present, the evidence base does not support the use of nutritional supplementation in enhanced recovery after surgery pathways for hip/knee replacement. However, that’s not to say that nutrition does not play a role. More high quality research is required particularly to explore the role of zinc, vitamin D and omega fatty acids, and possibly other nutrients that have been overlooked too. If you’d like to find out more you can get a full size version of the poster here. Any comments on this most welcome.

For those interested in orthopaedics in general, the opening presentation included learning about Norman, aged 90, who can apparently lay claim to having had the longest lasting hip replacement. He had his first replacement in 1948 and it only needed revising this year! (if I remember correctly)! Far, far longer than most hip replacements last.

Norman, 90 years young, had first hip replacement in 1948!

Norman, 90 years young, had first hip replacement in 1948!

 Other presentations included work on fracture prevention (increasingly important for our aging and increasingly frail population), developing post-graduate education in orthopaedic nursing, recognition of delirium, and the latest on the timely identification of compartment syndrome (a life-threatening complication).

Having a couple of hours to spare before returning to Bournemouth I took a look at some of the beautiful architecture in Cardiff. It had the feeling of a city that values its past:

The clock tower of Cardiff Castle

The clock tower of Cardiff Castle

but is also embracing the future…

Wales Millenium Centre

Wales Millenium Centre

Many thanks to the Faculty of Health and Social Sciences for supporting my attendance.

 

New THET project paper published

international, open access, Publishing, Training

thet-needs-assessmentToday saw the latest publication on our BU-led THET in Nepal.  The paper ‘Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey’ was published the Journal of Manmohan Memorial Institute of Health Sciences [1].   This paper reports on a quantitative survey with nearly all Auxiliary Nurse Midwives in Nawalparasi District in the southern part of Nepal. The findings illustrate the lack of training on mental health issues related to pregnancy and childbirth in this group of health workers. Thus the paper’s conclusions stress the need for dedicated training in this field.logo THET

This is the third publication linked to our mental health and maternity care project. In Nepal mental health is generally a difficult to topic to discuss. THET, a London-based organisation, funded Bournemouth University, and Liverpool John Moores University in the UK and Tribhuvan University in Nepal to train maternity workers on issues around mental health.  This latest paper and the previous two papers are all Open Access publications.  The previous two papers raised the issue of women and suicide [2] and outlined the THET project in detail [3].

np-thet-2916-jilly

Prof. Edwin van Teijlingen

CMMPH

 

References:

  1. Simkhada, B., Sharma, G., Pradhan, S., van Teijlingen, E., Ireland, J., Simkhada, P., Devkota, B. & the THET team. (2016) Needs assessment of mental health training for Auxiliary Nurse Midwives: a cross-sectional survey, Journal of Manmohan Memorial Institute of Health Sciences 2(1): 20-26. http://www.nepjol.info/index.php/JMMIHS/article/view/15793/12738
  2. Simkhada, P., van Teijlingen E., Winter, R.C., Fanning, C., Dhungel, A., Marahatta S.B. (2015) Why are so many Nepali women killing themselves? A review of key issues Journal of Manmohan Memorial Institute of Health Sciences 1(4): 43-49. http://www.nepjol.info/index.php/JMMIHS/article/view/12001
  3. van Teijlingen, E., Simkhada, P., Devkota, B., Fanning, P., Ireland, J., Simkhada, B., Sherchan, L., Silwal, R.C., Pradhan, S., Maharjan, S.K., Maharjan, R.K. (2015) Mental health issues in pregnant women in Nepal. Nepal Journal of Epidemiology 5(3): 499-501. http://www.nepjol.info/index.php/NJE/article/view/13607/11007

Congratulations to BU Visiting Faculty Dr. Sam Rowlands

Publishing, writing

sam-rowlandsDr. Sam Rowlands, FHSS Visiting Faculty, has just published an interesting article on ‘On being an expert witness in sexual and reproductive health’.   The paper will appear in the Journal of Family Planning & Reproductive Health Care [1].  In this article Sam highlights that expert witnesses need to be able to apply appropriate legal tests to the evidence, to deal with the range of expert opinion on a matter, and explain clearly what constitutes an appropriate standard of care for a clinician in their discipline and specialty. They must be aware of pitfalls such as being sued for substandard work and being reported to their professional regulator for straying outside their area of expertise. Expert witnesses must be truly independent and ideally their reports should be the same whoever they receive their instructions from.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Rowlands, S.  ‘On being an expert witness in sexual and reproductive health’. J Fam Plann Reprod Health Care doi:10.1136/jfprhc-2015-101385 (forthcoming/online first)

New paper Dr. Catherine Angell on CPD in Nepal

Centre for Excellence in Learning, Fusion, international, Knowledge Transfer, open access, Publishing, Training, writing

nnaCongratulations to Dr. Catherine Angell (FHSS) who just had her paper ‘Continual Professional Development (CPD): an opportunity to improve the Quality of Nursing Care in Nepal’ accepted in Health Prospect.   The paper is co-authored with BU Visiting Faculty Dr. Bibha Simkhada and Prof. Padam Simkhada  both based at Liverpool John Moores University (LJMU), Dr. Rose Khatri  and Dr. Sean Mackacel-logo-weby (also at LJMU), Prof. Edwin van Teijlingen in the Centre for Midwifery and Maternal & Perinatal Health (CMMPH), and our colleagues in Dr. Sujan Marahatta and Associate Professor Chandra Kala Sharma. Ms. Chandra Kala Sharma is also the president of the Nepal Nursing Association (left in photo).  Health Prospect is an Open Access journal, hence freely available to anybody in Nepal (and elsewhere in the world).

dsc_0124This paper is first of several based on a study aiming to improve CPD in Nepal and it is partly funded by LJMU and partly funded by BU’s Centre for Excellence in Learning (CEL).  The CEL-funded part of the project centres on focus group research with representatives of the Ministry of Health & Population, the Ministry of Education, the Nepal Nursing Association and the Nursing Council, and Higher Education providers of Nurse Education (both form Government-run universities and private colleges). The focus group schedule will include starter questions to initiate discussions around the kind of CPD nurses in Nepal need, its format, preferred models, the required quality and quantity, and ways of  checking up (quality control). In addition we will be asking a subgroup of nurses registered in Nepal about midwifery skills as midwifery is not recognised as a separate profession from nursing in Nepal. Hence there will be three focus groups specifically about midwifery CPD: one at MIDSON (the Midwifery Organisation of Nepal), one with nurses providing maternity care in private hospitals and one with nurses doing this in government hospitals.

The research is a natural FUSION project in the field of nursing & midwifery as it links Research in the field of Education to help improve Practice in Nepal.

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

  1. (CPD): an opportunity to improve the Quality of Nursing Care in Nepal, Health Prospect (Accepted) 

 

 

Human Henge: Historic landscapes & mental health at Stonehenge

Stonehenge in the sunshineCongratulations to colleagues on the recently funded project “Human Henge: Historic landscapes and mental health at Stonehenge”.  This research led by the Restoration Trust. The project has been funded by the Heritage Lottery Fund, English Heritage Trust and Wiltshire County Council and has multiple partners and contributors including Wiltshire County Council, Richmond Fellowship, English Heritage Trust and Bournemouth University. From BU, Prof Tim Darvill (Director Centre of Archaeology, Faculty of Science & Technology) and Dr Vanessa Heaslip (Faculty of Health & Social Sciences) are engaged in this project.

The Human Henge research project is a therapeutic sensory experience of Stonehenge for two facilitated groups, each of up to 16 local people with mental health problems, plus carers, support workers, volunteers and staff. Over ten weekly three-hour sessions, one at night, each group walks the landscape, reaching through time to other humans whose traces are illuminated by accompanying pre-historians, curators and artists. Individual experiences cohere in a shared spoken epic which is augmented from session to session. The groups arrive inside the Stone Circle near the winter solstice and spring equinox; collaborating with their chosen artist, they decide what they do there.

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

Understanding disabled women’s experiences of pregnancy, childbirth and parenting

Birthrights, a national charity for the rights of women during pregnancy and childbirth has today launched the interim report of a study undertaken by staff from Bournemouth University and the University of Liverpool, about the experiences of disabled women during pregnancy, childbirth and early parenting.

The current work arises following their 2013 Dignity in Childbirth survey which highlighted less positive experiences of women who identified themselves as disabled (Birthrights 2013). In response, Birthrights commissioned research to explore the experiences of disabled women throughout pregnancy, childbirth and the first few post-natal weeks (the pregnancy continuum). A multidisciplinary team, comprising of Dr Jenny Hall, Jilly Ireland and Professor Vanora Hundley from CMMPH and Dr Bethan Collins from the University of Liverpool, have just completed the first phase of the study, which has been released by Birthrights as an interim report today. This first phase of the study used an online survey to identify experiences of women in the UK and Ireland with physical or sensory impairment or long term health conditions during the pregnancy continuum.

Although overall satisfaction with services in general was scored highly by most women, challenges were described in women’s experiences. These included lack of continuity of carer, meaning that women needed to repeat their information again and again; women feeling that they were not being listened to, which reduced their feeling of choice and control; feeling they were treated less favourably because of their disability. More than half of the women (56%) felt that maternity care providers did not have appropriate attitudes to disability. Accessibility of services was also highlighted as poor, in some situations.

These findings resonate with recommendations from the recent maternity services review (National Maternity review 2016), which highlights the importance of personalised care, that is woman-centred, with opportunity for choice and control, and continuity of carer for everyone. The current study highlights how imperative this approach is for disabled women.

A follow-up qualitative study is underway to establish in-depth views and experiences of human rights and dignity of disabled women during the pregnancy continuum to develop our understanding of how best to enable this group. This second phase is due to be completed in Spring 2017.

The Interim report outlining the results from phase 1 is released today by Birthrights and may be found on the CMMPH web site.
https://research.bournemouth.ac.uk/wp-content/uploads/2013/10/Interim-Report-Sept16.pdf